Bon Secours Mercy Health
Bon Secours Mercy Health
Bon Secours Mercy Health is a health care organization operating hospitals and clinical sites in the United States and Ireland. Its work spans patient care, efforts to widen access and improve outcomes, and initiatives to deliver high-value care. The organization also pursues digital innovation and growth through investments and partnerships, while serving underserved communities and advancing sustainability across its operations.

Revenue Cycle Manager, EMS Billing Operations

Lead billing, collections, denial management, and compliance for Mercy Health’s Life Flight Network EMS services. Manage the billing team and improve revenue cycle performance.

Apraksts

  • Lead EMS transportation billing and revenue cycle operations.
  • Ensure claims are submitted accurately and on time, and oversee payment posting, account follow-up, denials, correspondence, adjustments, refunds, and account resolution.
  • Manage and develop billing staff through clear performance expectations, coaching, evaluations, corrective action, and professional development.
  • Maintain billing training programs and oversee employee orientation and continuing education.
  • Track revenue cycle KPIs, including collections, accounts receivable, aging, denial and clean claim rates, payment variance, and productivity.
  • Coordinate insurance billing, accounts receivable, payer correspondence, reconciliation, denial and rejection resolution, and underpayment identification.
  • Oversee daily deposits, payment posting, adjustments, refunds, balancing, audits, and discrepancy resolution.
  • Work with EMS operations, Revenue Cycle, Finance, payers, and other stakeholders to improve financial performance and patients’ financial experience.
  • Monitor payer requirements and billing compliance for Medicare, Medicaid, commercial plans, and applicable EMS transportation rules.
  • Review denial, rejection, and underpayment trends and coordinate corrective actions.
  • Improve billing workflows, system use, automation, and internal controls.
  • Coordinate departmental staffing, schedules, coverage, and staffing levels.
  • Prepare and present financial and operational reports to leadership.
  • Support or lead billing system, payer, process improvement, technology implementation, and revenue cycle projects.
  • Act as a subject matter expert in EMS transportation billing and revenue cycle processes.
  • Promote service excellence and maintain appropriate financial controls and safeguards.
  • Perform other assigned duties and responsibilities.

Prasības

  • High school diploma or GED.
  • Earn Certified Ambulance Coder credentials within six months of starting, or hold an organization-approved equivalent EMS billing certification.
  • Three to five years of experience in healthcare revenue cycle, medical billing, EMS billing, or a related healthcare finance setting.
  • Experience managing accounts receivable, insurance billing, payer follow-up, denials, and financial reconciliation.
  • Experience using billing systems and financial reporting tools.
  • Ability to lead or direct others.
  • Strong analytical ability.
  • Working knowledge of Microsoft Office.
  • Previous experience in healthcare billing operations.
  • Knowledge of registration, insurance, scheduling, verification, or hospital billing preferred.
  • Previous experience in air and ground medical transportation billing and operations preferred.
  • Two or more years of supervisory or management experience preferred.

Priekšrocības

  • Competitive pay, incentives, referral bonuses, and a 403(b) plan with employer contributions when eligible.
  • Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
  • Paid time off; parental and FMLA leave; short- and long-term disability; and backup care for children and elders.
  • Tuition assistance, professional development, and continuing education support.

Saistītās vakances